Table.
Society for Vascular Surgery recommendations for tiered approach to elective vascular surgical procedure scheduling
| Category | Condition | Tier class |
|---|---|---|
| AAA | Ruptured or symptomatic TAAA or AAA | 3 Do not postpone |
| Aneurysm associated w/infection or prosthetic graft infection | 3 Do not postpone | |
| AAA >6.5 cm | 2b Postpone if possible | |
| TAAA >6.5 cm | 2b Postpone if possible | |
| AAA <6.5 cm | 1 Postpone | |
| Aneurysm peripheral | Peripheral aneurysm, symptomatic | 3 Do not postpone |
| Peripheral aneurysm, asymptomatic | 2a Consider postponing | |
| Pseudoaneurysm repair: Not candidate for thrombin injection or compression, rapidly expanding, complex | 3 Do not postpone | |
| Symptomatic non-aortic intra-abdominal aneurysm | 3 Do not postpone | |
| Asymptomatic non-aortic intra-abdominal aneurysm | 2a Consider postponing | |
| Aortic dissection | Acute aortic dissection with rupture or malperfusion | 3 Do not postpone |
| Aortic emergency NOS | AEF with septic/hemorrhagic shock, or signs of impending rupture | 3 Do not postpone |
AAA, Abdominal aortic aneurysm; AEF, aortoesophageal; NOS, not otherwise specified; TAAA, thoracoabdominal aortic aneurysm.
Reproduced, with permission, from Society for Vascular Surgery.13